2020, Number 6
Acta Pediatr Mex 2020; 41 (6)
Foreign body ingestion (button battery) with atypical presentation in infancy. A case report and literature review
Baños-Rocha LM, Ignorosa-Arellano KR, Quesada-Tortoriello AI, Cadena-León JF, Toro-Monjaraz EM, Zárate-Mondragón FE, Loredo-Mayer A, Cervantes-Bustamante R, Ramírez-Mayans JA
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ABSTRACTBackground: Stridor is a high-pitched breath sound resulting from turbulent air flow in the narrowing areas of the large airways. A wide variety of differential diagnoses must be considered in the pediatric patient with stridor, including infectious and noninfectious causes, being foreign body aspiration as one of the etiologies to consider.
Clinical case: Previously healthy 11-month-old infant with sudden stridor and 5-dayold refusal of food. He received 2 antimicrobial schemes without improvement, in a fortuitous way it was detected, in the thorax radiography, a rounded object, opaque radio, located in the superior third of the esophagus. A foreign body, similar to a button battery, was removed endoscopically, leaving an ulcerated lesion with areas of necrosis (Zargar IIB). It was treated with broad-spectrum antibiotics, steroids and parenteral nutrition. His progress was satisfactory, without complications. In the control endoscopy at 6 weeks a scar was noticed in the affected area.
Conclusions: Cough and acute-onset stridor, followed by gastrointestinal manifestations such as vomiting and feeding refusal in infants and toddlers without a history of infectious disease, forced to rule out the presence of a foreign body, additional evaluation and endoscopic removal in an appropriate time.